Exhibit_E_-_Participant_Satisfaction_Survey.doc
DOC document 44 KB Posted
- Attached to
- Master Agreement AZ|CTR056121
- Contract number
- CTR056121
- Issued by
- Arizona
About this file
This document is a Participant Satisfaction Survey developed by the Arizona Department of Economic Security, Rehabilitation Services Administration (ADES/RSA) for Pre-Employment Transition Services. The survey is designed to collect feedback from participants about the quality of services provided by a contractor, with the intent of assessing service delivery, timeliness, and overall participant satisfaction.
The survey provides a structured mechanism for participants to rate their experience with pre-employment transition services, including evaluating the contractor's staff performance, service quality, and timely service delivery. Participants are asked to provide qualitative and quantitative feedback on the skills gained, service effectiveness, and potential recommendations for improvement. The document appears to be part of a quality assurance process for vocational rehabilitation and employment transition services, with a focus on measuring participant outcomes and contractor performance.
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Text version
Pre-Employment Transition Services
PARTICIPANT SATISFACTION SURVEY
Thank you for taking the time to complete this Survey developed by the Arizona Department of Economic Security, Rehabilitation Services Administration (ADES/RSA). ADES/RSA is committed to providing quality services and values your opinion regarding the program you are attending.
CONTRACTOR’S NAME: _____________________________
PARTICIPANT’S NAME: ___________________________________
Briefly describe the services you received from this Contractor and whether the skills you gained will help you obtain and/or maintain employment.
HOW WOULD YOU RATE THE QUALITY OF SERVICES YOU RECEIVED FROM THIS CONTRACTOR?
FORMCHECKBOX
Excellent
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Good
FORMCHECKBOX
Poor
THE CONTRACTOR’S STAFF DELIVERED SERVICE IN A TIMELY MANNER
FORMCHECKBOX
Strongly Agree
FORMCHECKBOX
Agree
FORMCHECKBOX
Neutral
FORMCHECKBOX
Disagree
FORMCHECKBOX
Strongly Disagree
OVERALL, I AM SATISFIED WITH THE QUALITY OF SERVICES PROVIDED BY THIS CONTRACTOR
FORMCHECKBOX
Strongly Agree
FORMCHECKBOX
Agree
FORMCHECKBOX
Neutral
FORMCHECKBOX
Disagree
FORMCHECKBOX
Strongly Disagree
OVERALL RATING OF THE CONTRACTOR’S SERVICE PROVISION IS:
FORMCHECKBOX
Excellent
FORMCHECKBOX
Good
FORMCHECKBOX
Poor
WRITE ANY SUGGESTIONS TO IMPROVE THIS SERVICE
Vp 2016-12-01 brw
File details come from the government source that posted it. Updated .